| NPI | 1790639110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CDPT.CO.70137805) |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-07-15 |